The Form 9400-562 stands as a critical document for organizations aiming to facilitate outdoor recreational activities, particularly fishing, for groups consisting of individuals with developmental disabilities. This form, meticulously designed by the Department of Natural Resources, underscores a compassionate approach toward inclusivity in natural resource enjoyment. It paves the way for groups, no larger than 12 participants including caregivers, to obtain a one-day group fishing license, removing barriers that might otherwise hinder the participation of individuals facing significant challenges. Navigating through the stipulations, the form demands a fee of $25 and a comprehensive submission including personal and event-specific information, ensuring a well-organized and lawful execution of the fishing event. Additionally, it encapsulates definitions crucial for eligibility and anticipates a review period by the Department. The form not only adheres to statutory requirements but also aligns with Wisconsin’s Open Records law, ensuring transparency and rightful access to information. It embodies a thoughtful marriage between facilitating recreational access and maintaining regulatory integrity, demonstrating a significant stride toward fostering environments where individuals with developmental disabilities can engage in and enjoy the natural world.
| Question | Answer |
|---|---|
| Form Name | Form 9400 562 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | infirmities, approvals, caregivers, regulating |
Mail to: |
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Department of Natural Resources |
Developmentally Disabled Group Application / License |
Fishing License Waiver - CS/1 |
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PO Box 7924 |
Form |
Madison, WI
Mail to: |
DNR Bureau of Customer Service & Licensing |
Fee: $25.00 |
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Box 7924 |
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Madison, WI 53707 |
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Allow at least 7 days for the Department to review your request.
Notice: Information requested on this form is required by the Department for any application filed pursuant to ss. 29.193, Wis. Stats. The Department will not consider your application unless you complete and submit this application form. Personal information provided may be used to determine identity of the bearer, eligibility for approvals, and participation in natural resources surveys. Information may be made available to requesters as required under Wisconsin's Open Records law [ss.
s. 29.193(5)(b), Wis. Stats. GROUP FISHING LICENSE FOR THE DEVELOPMENTALLY DISABLED. The department shall issue
s. 51.01(5)(a) "Developmental Disability" means a disability attributable to brain injury, cerebral palsy, epilepsy, autism,
Organization Information
Organization Name |
Contact Name |
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Street Address |
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Telephone Number |
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City |
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State |
ZIP Code |
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Participants
Not more than 12 individuals including the caregivers, may fish under the privilege of this license. List the names of the developmentally disabled and caregivers below.
Event Information
Event Date
Body of Water (Lake or River Name) Where Event is Taking Place
County Where Event is Taking Place
Certification
I certify that the information provided is true and correct and these persons comply with all the laws regulating the issuance of this license.
Applicant Name |
Telephone Number |
Applicant Signature
Date Signed
For DNR Use Only - DNR REPLY
Your group meets the requirements for the event date. Carry this approval form with you on the day of your fishing event.
A copy of this waiver will be sent to the warden in the county that is indicated above.
Customer Service and Licensing Signature